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Vermont rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Facilitymedian $575 · 10th–90th $501$6610%20%10th90th$575Professionalmedian $380 · 10th–90th $324$5890%20%10th90th$380$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$660.69
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$575.44
Typical High
$1,548.82